Name
Clinician Perspectives on Use of the Behavioral Health Consultant Observation Rating Scale (ORS) in the Primary Care Behavioral Health (PCBH) Model
Description

This session will explore clinician perspectives on the use of the Behavioral Health Consultant Observation Rating Scale (ORS) as a tool for monitoring fidelity to the primary care behavioral health (PCBH) model. Behavioral Health Consultants (BHCs) piloted the tool after completing a training workshop and provided feedback on its perceived feasibility, acceptability, and usefulness. Guided by the Consolidated Framework for Implementation Research (CFIR), this study examines barriers and facilitators to implementing the ORS within PCBH clinics. Implications for real-world implementation of observational fidelity monitoring tools in PCBH settings will be discussed.

Speakers
Donna Zastrow, M.A.
Co-Authors
Aubrey Dueweke, Ph.D., Assistant Professor, East Tennessee State University, Department of Psychology, Johnson City, TN
Content Level
All Audience
Tags
Innovations, Primary Care Behavioral Health Model, Training/Supervision
Session Type
Concurrent
Objective 1
Describe the purpose of fidelity monitoring in PCBH settings, and the role of observational rating tools.
Objective 2
Identify common barriers and facilitators to implementing an observational rating tool in PCBH settings.
Objective 3
Discuss the perceived feasibility, acceptability, and usefulness of the ORS based on feedback from a pilot study.
Content Reference 1

Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O., & Lowery, J. (2022). The updated consolidated framework for implementation research based on user feedback. Implementation Science: IS, 17(1), 75. https://doi.org/10.1186/s13012-022-01245-0

Content Reference 2

Dueweke, A. R., Tolliver, M., Archer, A., & Polaha, J. (2023). Leveraging the electronic medical record to measure fidelity to the primary care behavioral health model: Implications for clinical and research pursuits. Families, Systems, & Health: The Journal of Collaborative Family Healthcare, 41(3), 366–376. https://doi.org/10.1037/fsh0000778

Content Reference 3

Funderburk, J. S., Polaha, J., & Beehler, G. P. (2021). What is the recipe for PCBH? Proposed resources, processes, and expected outcomes. Families, Systems, & Health: The Journal of Collaborative Family Healthcare, 39(4), 551–562. https://doi.org/10.1037/fsh0000669

Content Reference 4

Ogbeide, S. A., Bauman, D., & Beachy, B. (2023). Clinical supervision within the primary care behavioral health model: What we know and where we need to go. Psychological Services. https://doi.org/10. 1037/ser00 00684

Content Reference 5

Health Federation of Philadelphia. (2016). Behavioral Health Consultant Observation Rating Scale (ORS). Health Federation of Philadelphia. https://www.pbgh.org/wp-content/uploads/2024/11/BHC-ORS-2023.pdf